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Dems Unit 2 Part 2 YAAAY > International/ Global Nutrition > Flashcards

Flashcards in International/ Global Nutrition Deck (24):
1

Conceptual Framework Malnutrition

Basic -->
Underlying -->
intermediate causes --> maternal and child malnutrition + short-term and long-term consequences

2

examples of basic causes

-lack of capital
-social, economic, political context

3

examples of underlying causes

-poverty
-food insecurity
-unhealthy household
-environment
-inadequate care

4

examples of immediate causes

-inadequate intake
-disease

5

examples of short term consequences

mortality, morbidity, disability

6

examples of long term consequences

adult size, intellectual ability, economic productivity, reproductive performance, metabolic and cardiovascular disease

7

Maternal and child undernutrition and cause of death

underlying cause of 3.1 milling deaths
45% child deaths annually

8

global deaths

stunting, severe wasting, & intrauterine growth restriction

9

Latin america

Stunting: z score

10

HAZ vs WHZ

HAZ accesses stunting
WHZ accesses wasting

11

overweight in children

WHZ>2
overall 7%: 43 million children
54% increase since 1990

12

maternal undernutrition

BMI 10% in asia and africa
-deficits in child development, health, and productivity

13

maternal overweight and obesity

>70% in americas and caribbean
>40% in Africa
-maternal morbidity, preterm birth, increased infant mortality

14

undernutrition in pregnancy

-affects fetal growth and post natal growth
-major determinant of stunting and subsequent obesity & noncommunicable diseases into adulthood

15

vitamin A and Zn deficiencies

-death
-have the largest remaining disease burden among micronutrients considered

16

iron and iodine

-contribute to children's failure to reach developmental potential

17

4 part framework for scaling up nutrition

- country level
- scale up evidence based cost effective interventions: window of opportunity: 1000 days: -9--> 24 months
-multi-sectoral approach: food security, social protection, health
-assistance for country owned nutrition programs and capacity

18

what evidence based interventions will be increased to 90% coverage --> 15% reduction in deaths

1. periconceptual folic acid
2. maternal balanced energy protein supplementation
3. maternal calcium supplementation
4. multiple micronutrient in pregnancy
5. promote breastfeeding
6. appropriate complementary feeding
7. vitamin A supplementation
8. preventative Zn supplementation: 6-59mths
9. management of severe acute malnutrition: SAM
10. management of moderate acute malnutrition: MAM

19

what type of intervention addresses underlying determinants of nutrition?

nutrition-sensitive interventions:
-agriculture, health, social problems, early child development, education, water and sanitation

20

4 maternal and birth outcome interventions

1. iron and folate supplementation
2. maternal iodine supplementation through salt iodization
3. maternal calcium supplementation
4. reduce tobacco consumption and indoor air pollution

21

newborn babies interventions

promotion of breastfeeding

22

8 infants and children interventions

1. promote breastfeeding
2. behavior change for improved complementary feeding
3. zinc supplementation
4. zinc management in diarrhea
5. vitamin a fortification/ supplementation
6. universal salt iodization
7. handwashing/ hygiene interventions
8. treat severe acute malnutrition

23

3 broad categories of nutrition related interventions

1. general nutrition interventions
2. micronutrient interventions
3. disease control interventions

24

8 examples of interventions

1. food aid
2. daily supplements
3. sprinkles of micronutrients
4. staple food fortification
5. selective plant breeding/ modification: phytate reduced maize
6. biofortification
7. diet diversification
8. education: complementary +/- food supplements, positive deviance